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This third edition has been extended to 30 chapters, each with a case
study concentrating on a specific disease state. Two further chapters
look holistically at medicines management and dealing with medicines
risk. All case studies are explored using a clear question and answer
format with a rational approach to drug choice.
Although intended for use by all pharmacists working in clinical practice,
there is a bias towards secondary care, and extra chapters on holistic
medicines management would have made it more appropriate for primary
care. Three chapters on renal disease and none on type 1 diabetes in
adults seems unbalanced. The chapter on managing medicines risk is useful,
but in view of the current emphasis on medicines safety, the opportunity
should have been taken to highlight such issues throughout the book.
Reference to National Institute for Clinical Excellence technology appraisals
and guidelines to inform drug choice decisions would have given the theoretical
approach a more practical application.
“Notes on the use of this book” state that it is for teaching
purposes, although the title does not make that clear and some may be disappointed
by the limited index with no cross referencing to key trial evidence
or national guidance.
However, in spite of these limitations, the book is a valuable teaching
aid and pharmacists working, or hoping to work, in clinical practice
will find it a useful resource and an aid to continuing professional
development.
Jenifer A. Harding
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